KRYSTAL ALCOTT (NPI# 1982114047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982114047 |
Entity Type | Individual |
Full Name | KRYSTAL ALCOTT |
Credential | PA-C |
Practice Address |
7300 Hanover Dr Ste 104 Greenbelt MD 20770-2250 |
Mailing Address |
7474 Greenway Center Dr Ste 900 Greenbelt MD 20770-3504 |
Practice Telephone | 3014864690 |
Mailing Telephone | 3019822000 |
Mailing Fax Number | 3019822001 |
Enumeration Date | 2017-10-03 |
Last Update Date | 2020-08-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
9110801 | FL | Allopathic & Osteopathic Physicians |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C07542 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1900 N Mills Ave, Orlando, FL 328031444 | 4078944880 | |
503 Cynwood Dr Ste 4, Easton, MD 216013869 | 3014864690 |
Street Address |
7300 HANOVER DR STE 104 |
City | GREENBELT |
State | MD |
Zip Code | 20770-2250 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982650719 | Michael D Malone | Surgery | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2006-05-25 |
1275189862 | Janee Monique White | Nurse Practitioner | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2019-08-11 |
1134772460 | Deborah Andrea Drummond | Nurse Practitioner | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2019-07-16 |
1629519574 | Richard Kennedy | Physician Assistant | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2017-03-12 |
1043656309 | Katherine Durland Lyons | Physician Assistant | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2013-05-14 |
1104073808 | Ratna M. Kunasani | Surgery | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2008-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841805405 | Caring Hands Medical Clinic LLC | Nurse Practitioner | 7201 Handover Parkway, Suite B, Greenbelt, MD 20770 | 2020-09-10 |
1770107203 | Jeannette Nicole Welds | Social Worker | 7710-303 Hanover Parkway, Greenbelt, MD 20770 | 2020-06-01 |
1063032597 | Victory Clinical Research | Specialist | 7212 Hanover Parkway, Suite A, Greenbelt, MD 20770 | 2020-04-24 |
1336793884 | Yan Chen | Physician Assistant | 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 | 2019-08-01 |
1245884519 | Antonio Moody | Counselor | 7474 Greenbelt Center Drive, Greenbelt, MD 20770 | 2019-07-25 |
1881166494 | Jeniece Edwina Weddington | Speech-Language Pathologist | Eleanor Roosevelt High School- Pgcps, 7601 Hanover Parkway, Greenbelt, MD 20770 | 2018-12-20 |
1043797996 | Thomas Mesumbe | Home Health Aide | 6204 Sringhill Drive, Apartment 201, Greenbelt, MD 20770 | 2018-07-24 |
1063914554 | Zainab Anita Foday | Home Health Aide | 5923 Cherrywood Terrace Apt 101, Greenbelt, MD 20770 | 2018-03-01 |
1619479193 | Nancy Benga | Home Health Aide | 5821 Cherrywood Ln Apt 104 5821 Cherry Wood Ln Apt 104, Greenbelt, MD 20770 | 2018-03-01 |
1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
Find all providers in zip 20770 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477094985 | Isioma Dumebi Wright | Physician Assistant | 7300 Hanover Pkwy Ste 104, Greenbelt, MD 20770-2013 | 2017-03-16 |
1336681105 | Tigist Woldegebrial Haileselassie | Physician Assistant | 7225 Hanover Pkwy, A, Greenbelt, MD 20770-2024 | 2016-11-10 |
1265680631 | Maria Theresa Cuadra | Physician Assistant | 7300 Hanover Dr, Suite 201, Greenbelt, MD 20770-2202 | 2008-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
1962971309 | Emmy L Estrada | Physician Assistant | 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 | 2018-11-14 |
1982170833 | Barbara Argyros | Physician Assistant | 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 | 2018-10-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.